| NPI | 1316350358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: GA 84414) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 293659) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-10-31 |